# CPT 99448: Ntrprof Phone/ntrnet/ehr Assmt&mgmt 21-30 Min

Medicare CPT 99448 pays $56.78 in a non-facility setting and $47.76 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $52.69 in Arkansas to $74.18 in Alaska, a 41% spread.

Web page: https://www.med-reveal.com/rates/99448-cpt-fee-schedule
Section: Evaluation and Management
Billed by: Evaluation

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $56.78 |
| National facility | $47.76 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $74.18 | $64.58 |
| District of Columbia | $62.34 | $51.72 |
| New York | $61.69 | $51.63 |
| New Jersey | $61.20 | $51.04 |
| California | $60.09 | $49.42 |
| Washington | $59.87 | $49.59 |
| Florida | $59.69 | $50.64 |
| Massachusetts | $59.62 | $49.49 |
| Connecticut | $59.55 | $49.84 |
| Illinois | $59.01 | $50.30 |
| Maryland | $58.27 | $48.86 |
| Hawaii | $58.08 | $47.82 |
| Colorado | $57.74 | $48.15 |
| Rhode Island | $57.74 | $48.42 |
| Oregon | $57.23 | $47.73 |
| New Hampshire | $57.17 | $47.78 |
| Puerto Rico | $56.94 | $47.82 |
| Virgin Islands | $56.94 | $47.82 |
| Pennsylvania | $56.92 | $48.08 |
| Michigan | $56.86 | $48.40 |
| Montana | $56.78 | $47.76 |
| Georgia | $56.57 | $47.96 |
| Texas | $56.47 | $47.59 |
| Delaware | $56.43 | $47.52 |
| Nevada | $56.30 | $47.27 |
| Wyoming | $56.00 | $46.98 |
| New Mexico | $55.83 | $47.56 |
| Arizona | $55.77 | $47.03 |
| West Virginia | $55.63 | $47.79 |
| Virginia | $55.58 | $46.71 |
| Utah | $55.35 | $46.88 |
| Louisiana | $55.30 | $47.06 |
| Minnesota | $55.21 | $45.93 |
| Missouri | $55.19 | $46.92 |
| Ohio | $55.18 | $46.94 |
| Vermont | $55.11 | $46.18 |
| North Dakota | $55.00 | $45.98 |
| South Carolina | $54.91 | $46.58 |
| Maine | $54.83 | $46.21 |
| South Dakota | $54.79 | $45.77 |
| Kentucky | $54.45 | $46.43 |
| North Carolina | $54.44 | $46.03 |
| Oklahoma | $54.11 | $46.06 |
| Wisconsin | $53.92 | $45.28 |
| Indiana | $53.87 | $45.51 |
| Idaho | $53.70 | $45.40 |
| Tennessee | $53.69 | $45.49 |
| Kansas | $53.49 | $45.34 |
| Nebraska | $53.47 | $45.15 |
| Mississippi | $53.40 | $45.63 |
| Iowa | $53.38 | $45.13 |
| Alabama | $53.14 | $45.25 |
| Arkansas | $52.69 | $44.94 |

## Related codes

- 99201: New Patient Office Visit: Coverage and Documentation Requirements — https://www.med-reveal.com/rates/99201-cpt-fee-schedule
- 99241: Office consultation for a new or established patient that requires these three key components: a problem-focused history; a problem-focused examination; and straightforward medical decision-making — https://www.med-reveal.com/rates/99241-cpt-fee-schedule
- 99251: Inpatient consultation for a new or established patient which requires these 3 key components: A problem focused history; A problem focused examination; and Straightforward medical decision making. — https://www.med-reveal.com/rates/99251-cpt-fee-schedule
- 99288: Phys/qhp Direction Emergency Medical Systems — https://www.med-reveal.com/rates/99288-cpt-fee-schedule
- 99354: Prolonged Service With Direct Patient Contact — https://www.med-reveal.com/rates/99354-cpt-fee-schedule
- 99355: Prolonged Service With Direct Patient Contact — https://www.med-reveal.com/rates/99355-cpt-fee-schedule
- 99358: Prolng E/m Svc Before&/after Dir Pt Care 1st Hr — https://www.med-reveal.com/rates/99358-cpt-fee-schedule
- 99359: Prolng E/m Before&/after Dir Care Ea 30 Minutes — https://www.med-reveal.com/rates/99359-cpt-fee-schedule

Commercial negotiated rates for 99448 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules